| Independent Provider | |
|
4607 Colonial Cir College Station TX 77845-8921 | |
| (979) 574-5050 | |
| Not Available |
| Full Name | Independent Provider |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4607 Colonial Cir, College Station, Texas |
| Authorized Official Name and Position | Frank Boyd (FAMILY MEDICINE) |
| Authorized Official Contact | 9795745050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Provider 4607 Colonial Cir College Station TX 77845-8921 Ph: (979) 574-5050 | Independent Provider 4607 Colonial Cir College Station TX 77845-8921 Ph: (979) 574-5050 |
| NPI Number | 1033246103 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033246103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | M5645 (Texas) | Primary |
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